1. Home
  2. Directory
  3. Connecticut
  4. Norwalk
  5. Physician Assistant
  6. NPI Profile

ALICIA D FUNDERBURK PA
NPI 1285310508
Physician Assistant - Surgical in Norwalk, CT

Active since June 22, 2023PECOS Enrolled
34 MAPLE ST, NORWALK, CT 06850(203) 852-2188 Get Directions Write a Review

NPPES record last updated: October 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2023, Jun 22, 2023 (2 updates tracked since 2023).

About Alicia D Funderburk Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA D FUNDERBURK PA (NPI 1285310508) is an individual surgical provider in Norwalk, Connecticut, licensed in Connecticut (6321) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285310508
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALICIA D FUNDERBURKCredential: PA
Location Address34 MAPLE STNorwalk, CT 06850-3894
Mailing Address34 Maple StNorwalk, CT 06850-3894 · (203) 852-2188
Phone(203) 852-2188
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateOctober 28, 20232 updates tracked since enumeration
NPPES CertifiedOctober 28, 2023
✔ NPI 1285310508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 6321
34 MAPLE ST, Norwalk, CT 06850
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia D Funderburk Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DLEAH VAIYASHA EPPS PA-C
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
DR. TIMOTHY DANIEL SHUB MD
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
KELLY NELSON
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2501
MADISON DUVAL HOBBS PA
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
JILL BIANCA WATRAS M.D.
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (703) 867-6793
SIMA EL-AYOUB
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2188
DR. CHRISTOPHER TYLER BATISTA PHARMD
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2684
MRS. NAUREEN KHAN M.D
Student in an Organized Health Care Education/Training Program
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Funderburk's NPI number?

The NPI number for Alicia Funderburk is 1285310508. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Alicia Funderburk located?

Alicia Funderburk practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (203) 852-2188.

What is Alicia Funderburk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alicia Funderburk enrolled in Medicare?

Yes. Alicia Funderburk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Funderburk was last updated on October 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.